Transfer of Ownership Form

Transfer of Ownership Form
Date of Transfer *

Month Day Year
Date
Dog's Registered Name
IWC/ILWC Registration Number *
Variety *

Longhair Smooth Coat
Dog's Call Name
Breeder
Original Owner *

First Name Last Name
Original Owner Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
Email
example@example.com
Original Co-Owner (if any)

First Name Last Name
Would you like to:

Transfer to New Owner Add New Co-Owner to Original Owner Transfer to New Owner AND New Co-owner(s) Remove current Co-Owner(s)
NEW Owner (If Applicable)

First Name Last Name
New Owner Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
Email
example@example.com
NEW Co-Owner (If Applicable)

First Name Last Name
New Co-Owner Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
Email
example@example.com
Name/Address/ Phone/Email of additional New Co-Owners (if any)
E-SIGNATURE OF NEW OWNER
Comments or notes (if any)
Payment

Pay via PayPal Mail check or money order
If you choose to pay via PayPal, please use PayPal Checkout below.

If you choose to send a check or money order, make out to "IWC" and mail to: IWC c/o Sidney Hoblit 33 Pine Grove Rd, Nottingham PA 19362 USA.

When all information on the form is complete, please click the "SUBMIT" button at the very bottom of the page regardless of which payment method you choose.
Fees:
prev next ( X )
Owner Transfer with Updated Registration Certificate $ 5.00

Add or Remove Co-Owner(s) to Current Owner(s)/Updated Registration Certificate $ 5.00

Add Certified Pedigree $ 12.00

International Postage (outside of USA) $ 5.00

Total $ 0.00
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